<div id="main_contrainer" style="margin-top: -30;">
	<h4>List Of Templates</h4>
	<hr size="10"/>
	<div>
		<table>
			<tr>
				<th>Template Type</th>
				<td>
					<select name="tempalte_type">
						<option value="">---Select---</option>
						<option value="1">Chif Complaints</option>
						<option value="2">Diagnosis</option>
						<option value="3">Discription</option>
						<option value="4">Investigation</option>
						<option value="5">Remark</option>
					</select>
				</td>
			</tr>
			<tr><td>&nbsp;</td></tr>
			<tr>
				<th>Template Name</th>
				<td><input type="text" name="last_name" value="" placeholder="Enter template name to serach..." /></td>
			</tr>
			<tr><td>&nbsp;</td></tr>
		</table>
	</div>
</div>
